Department of Family Medicine, National Taiwan University Hospital and College of Medicine, National Taiwan University, No. 7 Chung-Shan South Road, Taipei, Taiwan.
Arch Gerontol Geriatr. 2010 Feb;50 Suppl 1:S34-8. doi: 10.1016/S0167-4943(10)70010-8.
The purpose of this study was to determine the incidence of depression in late life and to explore associated risk factors among Taiwanese elderly. The analyses were based on nationally representative data from the Survey of Health and Living Status of the Elderly in 1999 and 2003. A total of 1,487 respondents aged 65 years and older who completed the 10-item Center for Epidemiological Survey Depression (CES-D) scale in these two surveys and without depression in 1999 were included in the final analyses. Depression was defined as a CES-D score equal to or greater than 10. The independent variables included sociodemographic characteristics, occurrence of new diseases, social support, perceived health and financial stresses, life satisfaction, and functional condition. The incidence rate of depression over 4 years was 19.7%. Multivariate regression analyses revealed that women who perceived greater health or financial stress and who had greater life dissatisfaction or worsened functional condition were more likely to suffer depression. These findings imply that healthcare programs for older adults should include cognitive and behavioral interventions in order to prevent the development of depression in late life.
本研究旨在确定台湾老年人晚年抑郁的发生率，并探讨相关的危险因素。分析基于 1999 年和 2003 年全国代表性的老年人健康和生活状况调查数据。最终分析共纳入了在这两次调查中完成了 10 项流行病学调查抑郁量表（CES-D）且在 1999 年没有抑郁的 1487 名 65 岁及以上的受访者。抑郁定义为 CES-D 得分等于或大于 10。自变量包括社会人口统计学特征、新发疾病、社会支持、感知健康和经济压力、生活满意度和功能状况。4 年内的抑郁发生率为 19.7%。多变量回归分析显示，感知健康或经济压力较大、生活满意度较低或功能状况恶化的女性更有可能患抑郁症。这些发现表明，老年人保健计划应包括认知和行为干预，以预防晚年抑郁的发生。
